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General NPI Number Information
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NPI Number | 1487771259
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Entity Type | Individual
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Provider Name | JUANITA L. HARB PH.D.
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Gender | Female
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Dates
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Enumeration Date | 03/24/2007
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Last Update Date | 03/24/2022
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Provider Practice Location Address
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Address Line | 2436 PROFESSIONAL DRIVE, SUITE 400
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City | ROSEVILLE
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State | CA
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Zip | 95661
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Country | US
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Telephone | 916-225-6311
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Fax |
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Provider Business Mailing Address
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Address Line | 2221 STOCKTON BLVD
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City | SACRAMENTO
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State | CA
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Zip | 95817-1418
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Country | US
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Telephone | 916-734-2723
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State |
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